Western Alumni Ambassador Interest Form

Thank you for your interest in being an ambassador with Western Alumni. Please complete the form below with your contact information and some additional questions. Please note that some applicants might be re-directed to other engagement opportunities.

For more information, please review the Western Alumni Ambassador Role Description or visit the Western Alumni Global Ambassador Program web page.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Please tell us who you are

Name*

Email Preferences

Please note that alumni volunteers should agree to receive e-mail correspondence from Western.
Yes, I would like to update my email preferences

Home Address

Numbers only (eg. 5195551234)
Numbers only (eg. 5195551234)

Work Address

Social Media

Were you involved with any clubs or athletics while you were a student at Western?

clubs or athletics

Have you attended any Western Alumni events in the past?

events attended

Why are you interested in volunteering with Western Alumni?

After reading the role description, are you confident that you will be able to commit your time and talent as an ambassador?

are you confident

The information provided above will be used to update your Western alumni record. Please read Western's Privacy Policy if you wish to learn about how the University protects and uses your information.

Western Alumni is committed to employment equity and diversity and welcomes applications from women, members of racialized groups/visible minorities, Aboriginal persons, persons with disabilities, persons of any sexual orientation, and persons of any gender identity or gender expression.